Organization
MILBURN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L MILBURN CPED COF (PRESIDENT)
(913) 341-8222
Entity
Organization
Contact information
Practice address
9303 W 75TH ST, SUITE 110, OVERLAND PARK, KS 66204-2234
(913) 341-8222
(913) 341-8272
Mailing address
9303 W 75TH ST, SUITE 110, OVERLAND PARK, KS 66204-2234
(913) 341-8222
(913) 341-8272
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004-F-01
KS
332BC3200X
Customized Equipment (DME)
004-F-01
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35093021
BCBS OF KANSAS CITY
KS
Enumeration date
08/16/2007
Last updated
07/21/2022
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